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Individual
PAMELA S DIETELBACH
Active
Individual
PAMELA S DIETELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT. 012239
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2960069
—
OH
01
—
34-1877311-00
BUREAU OF WORKERS COMP
—
01
—
34-1877311-01
BUREAU OF WORKERS COMP
—
01
—
64-97047
UNITED HEALTHCARE
—
Enumeration date
09/25/2008
Last updated
10/07/2024
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